Individual
DR. LARRY SIMCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD MA MDIV LMFT
Contact information
Practice address
ONE NORTH 121 FARWELL ST, CAROL STREAM, IL 60188
(630) 653-5405
Mailing address
ONE NORTH 121 FARWELL ST, CAROL STREAM, IL 60188
(630) 653-5405
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632910
BCBS OF ILLINOIS
—
Enumeration date
02/13/2007
Last updated
07/08/2007
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